Reach, recruitment, dose, and intervention fidelity of the GoActive school-based physical activity intervention in the UK: A mixed-methods process evaluation

Jong, Stephanie, Croxson, Caroline H. D., Foubister, Campbell, Brown, Helen Elizabeth, Guell, Cornelia, Lawlor, Emma Ruth, Wells, Emma, Wilkinson, Paul, Wilson, Ed ORCID:, van Sluijs, Esther M. F. and Corder, Kirsten (2020) Reach, recruitment, dose, and intervention fidelity of the GoActive school-based physical activity intervention in the UK: A mixed-methods process evaluation. Children, 7 (11). ISSN 2227-9067

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School-based multi-component physical activity (PA) promotion is advocated; however, research has indicated that a multi-component approach may not always be effective at increasing adolescent PA. Evaluation of the GoActive 12-week multi-component school-based intervention showed no effect on adolescent PA. A mixed-methods process evaluation was embedded to facilitate greater understanding of the results, to elicit subgroup perceptions, and to provide insight into contextual factors influencing intervention implementation. This paper presents the reach, recruitment, dose, and fidelity of GoActive, and identifies challenges to implementation. The process evaluation employed questionnaires (1543 Year 9s), individual interviews (16 Year 9s; 7 facilitators; 9 contact teachers), focus groups (48 Year 9s; 58 mentors), alongside GoActive website analytics and researcher observations. GoActive sessions reached 39.4% of Year 9s. Intervention satisfaction was relatively high for mentors (87.3%) and facilitators (85.7%), but lower for Year 9s (59.5%) and teachers (50%). Intervention fidelity was mixed within and between schools. Mentorship was the most implemented component. Factors potentially contributing to low implementation included ambiguity of the roles subgroups played within intervention delivery, Year 9 engagement, institutional support, and further school-level constraints. Multiple challenges and varying contextual considerations hindered the implementation of GoActive in multiple school sites. Methods to overcome contextual challenges to implementation warrant in-depth consideration and innovative approaches.

Item Type: Article
Additional Information: Special issue: Physical Activity, Sedentary Behaviour and Health Interventions in Children and Adolescents
Uncontrolled Keywords: school-based intervention,process evaluation,fidelity,mixed-methods,physical activity,fidelity,school-based intervention,physical activity,mixed-methods,process evaluation,pediatrics, perinatology, and child health ,/dk/atira/pure/subjectarea/asjc/2700/2735
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 21 Nov 2020 00:51
Last Modified: 22 Oct 2022 07:29
DOI: 10.3390/children7110231

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